Abstract
Presentation of Case First admission. A thirty-six-year-old woman entered the hospital because of dyspnea and palpitation. At the age of three years the patient had a fever and joint pains for several months, and a heart murmur was heard. Two years later chorea developed and persisted for a year. She was married at the age of twenty-four years; two years later severe dyspnea and tachycardia occurred in the thirty-eighth week of pregnancy, and cesarean section was performed and digitalis therapy instituted. Eight years before admission sodium restriction and a diuretic agent were added to the regimen because of increased dyspnea. . . .
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